Evaluation of Drain Placement Outcomes in Patients Requiring Splenectomy

Q4 Medicine
M. Eskandarlou, Vahid Hamzeie
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引用次数: 0

Abstract

Background and Objective: Splenectomy is one of the most common abdominal surgeries following internal and hematologic diseases, as well as trauma which is along with some complications. This study aimed to investigate the effects and outcomes of drain placement after splenectomy, open splenorrhaphy, or laparoscopy. Materials and Methods: This descriptive cross-sectional study included patients with various indications who underwent splenectomy with midline or left subcostal incisions in Besat Hospital, Hamadan, Iran, during 20172018. It should be noted that the patients underwent drain insertion, and the final outcomes were evaluated after surgery. Regarding the aim of the study, variables, such as hospital stay duration, postoperative infection, the incidence of collection and dehiscence, the duplication of surgical procedures, and secretion levels on days 1 to 5 post-operation were assessed using checklists and clinical examinations. All data were analyzed using SPSS software (version 21.0). A P-value less than 0.05 was considered statistically significant. Results: According to the results, the mean age of the patients was 42.12±20.26 years. Moreover, out of 31 patients under study, 21 cases were male. In total, 16 (51.6%) and 15 (48.4%) patients underwent splenectomy using subcostal and midline incisions, respectively. The indications for surgery in patients included idiopathic thrombocytopenic purpura (n=10, 32.3%), hemolytic anemia (n=2, 6.45%), trauma (n=7, 22.6%), spleen mass (n=2, 6.5%), diagnostic procedure (n=3, 9.7%), splenomegaly (n=5, 16.1%), and hematological problems along with biliary stone disease (n=2, 6.45%). Regarding the surgical complications, the wound site collection (n=6, 6.45%) and left sub-diaphragmatic and Morison's pouch collection (n=6, 19.35%) were reported in this study. It should be noted that the duplication of the surgery was performed only in one patient, and all the cases had drainage secretions until the third day. Conclusion: The insertion of the drain after splenectomy not only prevents complications, such as hematoma, seroma, or pancreatic secretion collection below the left diaphragm but also informs the surgeon, in some cases, about bleeding after surgery. Therefore, it seems that the benefits of drain placement may outweigh the risks of not using it.
脾切除术患者引流管放置效果的评价
背景与目的:脾切除术是继内科和血液系统疾病、创伤和一些并发症之后最常见的腹部手术之一。本研究旨在探讨脾切除术、开放性脾修补术或腹腔镜手术后放置引流管的效果和结果。材料和方法:这项描述性横断面研究纳入了2017年至2018年在伊朗哈马丹贝萨特医院接受中线或左侧肋下切口脾切除术的各种适应症患者。值得注意的是,患者接受了引流管插入术,并在手术后评估最终结果。关于研究的目的,使用检查表和临床检查评估了住院时间、术后感染、收集和裂开的发生率、手术程序的重复以及术后第1至5天的分泌物水平等变量。所有数据均使用SPSS软件(版本21.0)进行分析。P值小于0.05被认为具有统计学意义。结果:根据结果,患者的平均年龄为42.12±20.26岁。此外,在接受研究的31名患者中,21名为男性。总共有16名(51.6%)和15名(48.4%)患者分别接受了肋下和中线切口的脾切除术。患者的手术指征包括特发性血小板减少性紫癜(n=10,32.3%)、溶血性贫血(n=2,6.45%)、创伤(n=7,22.6%,本研究报告了伤口部位收集(n=6,45%)和左侧膈下和Morison氏囊收集(n=619.35%)。需要注意的是,只有一名患者进行了重复手术,所有病例在第三天之前都有引流分泌物。结论:脾切除后插入引流管不仅可以预防并发症,如血肿、浆膜瘤或左膈下胰腺分泌物收集,而且在某些情况下,还可以告知外科医生术后出血。因此,放置排水管的好处可能大于不使用排水管的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
0.30
自引率
0.00%
发文量
16
审稿时长
8 weeks
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